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Micro Lumbar Discectomy (MLD)
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Micro Lumbar Discectomy (MLD)

Approximate Cost :On Request Duration : 3-10 Days

Micro Lumbar Discectomy is a an advanced minimally invasive surgery for patients with lumbar disc herniation. Compared to traditional open decompression surgery the recovery is faster and the patient is back to his normal activities within a week. Sciatica or lumbar disc herniation is a painful condition in which the patient complains of severe backache, numbness, radiating pain and tingling sensation in one or both legs. There may be associated weakness of leg and wasting of leg muscles in long standing cases.

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The patient is unable to sit, stand or walk even for short durations. In less severe cases, the condition is treated conservatively by bed rest and traction and physiotherapeutic exercises. But in severe cases such as continuous pain, leg weakness and loss of bladder control, surgery is the treatment of choice. When L5 nerve root is compressed along its path within the spinal canal. It can be due to age associated bony outgrowths (osteophytes) or disc herniations in the space between 4th and 5th lumbar vertebrae. The nerve root controls the muscles of elevation of the foot at the ankle, elevation of the big toe, sensation on the top of the foot and sensation on the back of the thigh and leg. Irritation and compression of this nerve root causes the severe back ache, numbness, tingling and radiating pain in the leg. Some times if the compressive structure is large, it may press upon L5 nerve roots of both sides resulting in loss of bowel and bladder control, which is a medical emergency. What is the recovery time? Since MLD is a minimally invasive surgery with a very small incision, it allows for a more rapid recovery. Most individuals can return home the same day as the surgery and return to normal or light activities within a day or two. More than 90% of patients experience total or near total pain relief, usually within a day or two of operation.

 

 

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Rehabilitation Period The patient resumes normal activities within two days of surgery. Heavy weight lifting and car driving is advised after 3 weeks. Proper ergonomics while sitting standing and carrying weight is taught to the patient. Physiotherapy on out patient basis begins with mild strengthening and stretching exercises followed by endurance exercise for back muscles. Short periods of walking are advised. Athletic activities can be resumed in one month. Who is a candidate for Minimally Invasive Micro Lumbar Discectomy ? Patients who continue to have the following symptoms even after 3 months of conservative treatment of bed rest, traction or physiotherapy, are advised this surgery. • Pain in the low back and back of the leg • Pain and limitation in raising the leg with the patient lying on his back • Loss of sensation in the leg • Weakness in specific muscle groups in the leg especially foot elevators. • Loss of reflexes at the knee and ankle

 

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